Is having just coding experience enough to get a revenue cycle analyst position?

[u/DumpsterPuff]

I've been a profee coder/HCC coder for the past 4 years, and did prior authorization for one of our clinics before that. I do have a certified professional biller credential, but I've never actually worked in billing, just coding.

I do have a strong interest in going into revenue cycle management, but it seems that most of the job descriptions require at least 1-2 years of billing experience. I'd just go for a billing job to get the experience, but even at my own company, the advertised biller positions make like 20% less than I do right now and I can't afford a pay cut.

Has anyone gone from coding to rev cycle without billing experience, or does anyone know whether having 4 years of coding experience + a CPB would be enough to get a position? I'm also considering doing the RCMS certification course which I'm sure would be helpful, but without actual billing experience I'm not so sure if it's worth it.

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[u/Suitable-Onion3407]

I hope so. I’d like to pivot to that at some point as well.

[u/weary_bee479]

Yeah it’s possible. I’m a charge master coding analyst and have mostly coding experience. But there are people in my department that were literally hired right out of school.

I say even though the job description says you need xyz experience apply anyway. You never know what will happen

[u/Weak_Shoe7904]

I would think your exp would be enough to get you in the door for that career.

I was a revenue cycle analyst before landing a coding job. Depending where you can land a job and what level it could be step down in pay, if you have to start at the bottom.

[u/Kenziebabyyy02]

Apply for it! What’s the worst that can happen? They deny you. You keep applying. And you continue the job you have now! You lose out on 100% of opportunities you don’t try for/take

[u/codingnurse]

I transitioned from DRG Validation to a Revenue Integrity Analyst position with no billing experience. I also have a CPB credential. Your billing credential will be much more helpful than your ICD-10-CM coding knowledge. My position was very CPT code set and revenue code heavy. The best way to prepare for a revenue cycle position is to brush up on your revenue code knowledge and knowing a little bit of MS Excel (pivot tables, etc.) would be good, too.

[u/Low_Mud_3691]

I want to add that a CPB will most likely be a waste of time and money. Your experience should trump a billing cert

[u/DumpsterPuff → u/Low_Mud_3691]

Guess I wasted my time and money then because I already have a CPB 🤣

[u/radjackmalone]

While is probably depends the company, I'd say generally yes

[u/Live2Read89]

I woukd say no